NORTH EAST FLORIDA MENTAL HEALTH COUNSELORS ASSOCIATION NEFMHCA MEMBERSHIP APPLICATION & RENEWAL

JOIN NEFMHCA & BECOME A MEMBER TODAY!

Types of Membership

♦ Clinical: All licensed mental health professionals or those who are certified Licensed mental health counselors (LMHC) or retired must join as clinical members
♦ Regular: Registered mental health counselor interns or those unlicensed professionals with mental health or related field employment.
♦ Student: Enrolled full-time in a master’s graduate program in mental health counseling or related field. Professor must sign this application form or show current enrollment is college.

** The best deal for clinical members: Clinical member may join NEFMHCA with a UNIFIED DUES listed below. To take advantage of this membership, please fill out this form below and mail in along with check for dues. Please fill in all contact information as legible as possible. Your email address will be the primary means of communication.

Membership Application
Choose One *
Membership Levels *
I would like to participate in the following NEFMHCA activities: *

Please mail your payment (check or money order) attached to this form payable to NEFMHCA to:

Or Visit us online to become a Member: https://nefmhca.com/membership-account/membership-levels/. Your dues are valid for 12 months from the date of receipt. Dues may be considered ordinary and necessary business expenses less the amount allocated to lobbying expenditures. A small portion of dues allotted will be allotted for lobbying this year.